CMS Price Transparency Data

Blood test, average blood sugar (A1c)

Facility: Doctors Hospital of Laredo

Billing Code: 83036 (CPT)

Factual Cost Summary (Answer Capsule)
  • CPT Billing Code: 83036
  • Insurance Median: $116
  • Cash Discount Price: $169
  • vs. Medicare Baseline: 11.95x Medicare
The contracted insurance negotiated median rate for a Blood test, average blood sugar (A1c) at Doctors Hospital of Laredo is $116. If you are paying out-of-pocket or uninsured, the self-pay cash discount rate is $169. Compared to the federal Medicare reimbursement reference rate of $9.71, this hospital’s rate is 11.95x the Medicare baseline. Located in 10700 McPherson Road, Laredo, TX.
Cash / Self-Pay
$169

Average discount available for prompt cash payment at this facility.

Insurance Median
$116

Median negotiated contract rate across all mapped commercial carriers.

Medicare Reference Rate
$9.71

Standard federal government reimbursement rate for this code.

Visual Cost Comparison vs. Medicare

Medicare Reference Baseline: $9.71 (100%)
Cash / Self-Pay: $169 (1740%)
Insurance Median: $116 (1195%)
Cash: $169 (1740% of Medicare)
Ins. Median: $116 (1195% of Medicare)

Understanding this gauge: We use the federal Medicare rate of $9.71 as the cost baseline. Rates below the baseline represent excellent value. In-network commercial rates commonly hover around 150% - 250% of Medicare, while rates exceeding 300% are elevated. Hover over the green and blue markers to view detailed calculations.

Elevated Commercial Rate Alert (Value-Gap)

The negotiated rate at this facility is 1195% of the Medicare baseline (a markup of 1095%). Patients with high-deductible plans or out-of-network benefits may face excessive out-of-pocket costs.

Out-of-Pocket Cost Estimator

Estimate whether it is more economical to use your insurance or pay the upfront self-pay cash rate.

Input your details and click calculate to compare out-of-pocket costs.

Commercial Insurance Negotiated Rates

Negotiated contract ranges established by major commercial carriers at this facility.

Carrier / Plan Group Contract Rate Range vs. Medicare Reference
Cigna $8 - $208 82%
Superior $8 82%
Molina $9 93%
United_Healthcare $14 144%
Blue_Cross_Blue_Shield_Of_Tx $29 - $195 299%
Aetna $105 - $350 1081%
Healthsmart $127 - $422 1308%
Multiplan $156 - $519 1607%
Geha $181 - $604 1864%

Self-Pay Upfront Cash Action Plan

Insurance In-Network Protection Plan

Facility Profile & Credentials

  • Address: 10700 McPherson Road, Laredo, TX 78041
  • CMS Rating: ★★★★☆
  • Ownership Type: Proprietary
  • Hospital Type: Acute Care Hospitals